Waterpipe tobacco use in college and non-college young adults in the USA

ObjectiveThe goal of this study is to examine the cross-sectional prevalence of use and 3-year longitudinal pathways of cigar use in US youth (12-17 years), young adults (18-24 years), and adults 25+ (25 years or older).DesignData were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth and adults. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.ResultsWeighted cross-sectional prevalence of past 30-day (P30D) use was stable for adults 25+ (~6%), but decreased in youth (Wave 1 (W1) to Wave 3 (W3)=2.5% to 1.2%) and young adults (W1 to W3=15.7% to 14.0%). Among W1 P30D cigar users, over 50% discontinued cigar use (irrespective of other tobacco use) by Wave 2 (W2) or W3. Across age groups, over 70% of W1 P30D cigar users also indicated P30D use of another tobacco product, predominantly cigar polytobacco use with cigarettes. Discontinuing all tobacco use by W2 or W3 was greater in adult exclusive P30D cigar users compared with polytobacco cigar users.ConclusionsAlthough the majority of P30D cigar users discontinued use by W3, adult polytobacco users of cigars were less likely to discontinue all tobacco use than were exclusive cigar users. Tracking patterns of cigar use will allow further assessment of the population health impact of cigars.

Download Full-text

Prevalence and correlates of JUUL use among a national sample of youth and young adults

Tobacco Control ◽

10.1136/tobaccocontrol-2018-054693 ◽

2018 ◽

Vol 28 (6) ◽

pp. 603-609 ◽

Cited By ~ 60

Author(s):

Donna M Vallone ◽

Morgane Bennett ◽

Haijun Xiao ◽

Lindsay Pitzer ◽

Elizabeth C Hair

Keyword(s):

Young Adults ◽

Young People ◽

Tobacco Use ◽

Sensation Seeking ◽

National Sample ◽

Use Patterns ◽

Frequency Of Use ◽

Younger Age ◽

Youth And Young Adults ◽

The Usa

ObjectiveTo estimate the prevalence of JUUL use and identify demographic and psychosocial correlates of use among youth and young adults in the USA.MethodsA national, probability-based sample was recruited via address-based sampling, with subsamples recruited from an existing probability-based online panel. Participants (N=14 379) ages 15–34 were surveyed about JUUL use, tobacco use, electronic nicotine delivery system (ENDS) harm perceptions, sensation seeking and demographic characteristics. Data were collected February–May 2018. Χ2 analyses assessed differences in JUUL use by demographic and psychosocial characteristics. Logistic regressions identified significant correlates of ever and current JUUL use.ResultsOverall, 6.0% reported ever JUUL use, and 3.3% reported past 30-day (ie, current) use. Rates were higher among participants aged 15–17 and 18–21 years, with 9.5% and 11.2% reporting ever use, and 6.1% and 7.7% reporting current use, respectively. Among current users aged 15–17 years, 55.8% reported use on 3 or more days in the past month, and over a quarter reported use on 10–30 days. Significant correlates of use included younger age, white race, greater financial comfort, perceptions of ENDS as less harmful than cigarettes, household ENDS use, high sensation seeking and current combustible tobacco use.ConclusionJUUL use was significantly higher among young people, with those under 21 having significantly higher odds of ever and current use. Frequency of use patterns suggest youth may not be experimenting with the device but using it regularly. Given the high nicotine content of JUUL, there is concern over the potential for addiction and other serious health consequences among young people. Findings suggest strong regulatory actions are needed to prevent youth and young adult uptake.

Download Full-text

COLORECTAL CANCER MORTALITY IN YOUNG ADULTS IS RISING IN THE USA, CANADA, UK AND AUSTRALIA, BUT NOT IN EUROPE AND ASIA

Gastroenterology ◽

10.1053/j.gastro.2020.12.070 ◽

2021 ◽

Author(s):

Claudia Santucci ◽

Paolo Boffetta ◽

Fabio Levi ◽

Carlo La Vecchia ◽

Eva Negri ◽

...

Keyword(s):

Colorectal Cancer ◽

Young Adults ◽

Cancer Mortality ◽

The Usa ◽

Colorectal Cancer Mortality

Download Full-text

Trends in survival of patients with Burkitt lymphoma/leukemia in the USA: an analysis of 3691 cases

Blood ◽

10.1182/blood-2012-12-475558 ◽

2013 ◽

Vol 121 (24) ◽

pp. 4861-4866 ◽

Cited By ~ 44

Author(s):

Luciano J. Costa ◽

Ana C. Xavier ◽

Amy E. Wahlquist ◽

Elizabeth G. Hill

Keyword(s):

United States ◽

Young Adults ◽

Burkitt Lymphoma ◽

Unmet Need ◽

The United States ◽

The Past ◽

Black Patients ◽

Key Points ◽

The Usa

Key Points Survival of patients with BL improved substantially in the United States during the past decade, mainly among young adults. Survival of patients with BL remains relatively low, particularly for older and black patients, identifying an unmet need.

Download Full-text

‘Ice’ flavoured e-cigarette use among young adults

Tobacco Control ◽

10.1136/tobaccocontrol-2020-056416 ◽

2021 ◽

pp. tobaccocontrol-2020-056416

Author(s):

Adam Leventhal ◽

Hongying Dai ◽

Jessica Barrington-Trimis ◽

Steve Sussman

Keyword(s):

Young Adults ◽

Los Angeles ◽

Tobacco Use ◽

Cross Sectional Study ◽

Cigarette Use ◽

Cross Sectional ◽

Web Based ◽

The Past ◽

Frequency Of Use ◽

Exposure Variable

Background‘Ice’ e-cigarette flavours—marketed as a combination of fruity/sweet and cooling flavours (eg, ‘blueberry ice’ or ‘melon ice’)—recently entered the US market. The prevalence and correlates of ice flavoured e-cigarette use in young adults are unknown.MethodsThis cross-sectional study of a Los Angeles, California, USA, cohort analysed data from the past 30-day e-cigarette (current) users (n=344; M (SD)=21.2 (0.4) years old) who completed web-based surveys from May–August 2020. The exposure variable was self-reported e-cigarette flavour used most often in the past month (menthol/mint, fruit/sweet or ice). Outcomes included self-reported combustible tobacco use, vaping dependence symptoms, frequency of use and device type used.ResultsAmong current e-cigarette users, 48.8% reported using ice flavours most often, 33.7% predominately used fruit/sweet and 17.4% used menthol/mint. Using primarily ice-flavour was associated with reporting more past-30-day vaping days (vs menthol/mint: b=4.4, 95% CI (1 to 7.7); vs fruit/sweet: b=3.6, 95% CI (0.8 to 6.4)) and more episodes per vaping day versus fruit/sweet users (b=2.4, 95% CI (0.5 to 4.3)). Ice-flavour users were less likely than menthol/mint users to use JUUL/cartridge-based rechargeable (OR=0.1, 95% CI (0.03 to 0.45)) and more likely than sweet/fruit users to use disposable non-cartridge (OR=3.9, 95% CI (2.1 to 7.4)) devices than refillable/rechargeable tank/pen or other devices. Ice users had greater odds of past 30-day combustible tobacco use versus menthol/mint users (OR=2.7, 95% CI (1.3 to 5.7)) and vaping dependence symptoms than versus sweet/fruit users (OR=2.6, 95% CI (1.5 to 4.4)).ConclusionYoung adult use of ice flavoured e-cigarettes may be common and positively associated with combustible tobacco use, nicotine vaping frequency and dependence and use of disposable e-cigarette devices. Further study of the prevalence, determinants and health effects of ice flavoured e-cigarette use is warranted.

Download Full-text

Effect of the FDA Black Box Suicidality Warnings for Antidepressants on Suicide Rates in the USA

Crisis ◽

10.1027/0227-5910/a000843 ◽

2021 ◽

Author(s):

Martin Plöderl ◽

Michael Pascal Hengartner

Keyword(s):

Young Adults ◽

Young Adult ◽

Detrimental Effect ◽

Black Box ◽

Adolescent And Young Adult ◽

Ecological Data ◽

Suicide Rates ◽

Black Box Warnings ◽

The Usa ◽

Random Fluctuations

Abstract. Background: Some authors claimed that the US Food and Drug Administration (FDA) black box warning on treatment-emergent suicidality with antidepressants in adolescents (issued 2004) and young adults (issued 2006) led to an increase of suicides, based on the analyses of ecological data with debatable assumptions about putative changes in suicide rates. Aims: To explore if putative changes in suicide rates in adolescents and young adults at the time of the FDA warnings is a detectable signal in the data or compatible with random fluctuations. Method: We applied different changepoint analyses for adolescent and young adult suicide rates from 1981 to 2019 in the USA. Results: Changepoint analysis did not support a detrimental effect of the FDA black box warnings. The downward trend of suicides reversed several years after the warning in adolescents (2007–2009) and many years before in young adults (1999–2001). Limitations: Our analyses cannot rule out detrimental effects of the FDA warnings. However, even if there was such an effect, it was likely small and indistinguishable from random fluctuations in the available suicide data. Conclusion: There is no detectable change of trend in adolescent or young adult suicide rates in line with a detrimental effect of the FDA black box warnings on treatment-emergent suicidality.

Download Full-text